College of Pharmacy, Gachon Institute of Pharmaceutical Science, Gachon University, Incheon, Korea.
Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon, Korea.
Chem Biol Drug Des. 2021 Nov;98(5):733-750. doi: 10.1111/cbdd.13928. Epub 2021 Aug 1.
Type 2 diabetes is characterized by chronic hyperglycemia. Insulin, a hormone secreted from pancreatic β-cells, decreases blood glucose levels, and glucagon, a hormone secreted from pancreatic α-cells, increases blood glucose levels by counterregulation of insulin through stimulation of hepatic glucose production. In diabetic patients, dysregulation of glucagon secretion contributes to hyperglycemia. Thus, inhibition of the glucagon receptor is one strategy for the treatment of hyperglycemia in type 2 diabetes. In this paper, we report a series of biphenylsulfonamide derivatives that were designed, synthesized, and then evaluated by cAMP and hepatic glucose production assays as glucagon receptor antagonists. Of these, compound 7aB-3 decreased glucagon-induced cAMP production and glucagon-induced glucose production in the in vitro assays. Glucagon challenge tests and glucose tolerance tests showed that compound 7aB-3 significantly inhibited glucagon-induced glucose increases and improved glucose tolerance. These results suggest that compound 7aB-3 has therapeutic potential for the treatment of type 2 diabetes.
2 型糖尿病的特征是慢性高血糖。胰岛素是一种由胰腺β细胞分泌的激素,可降低血糖水平,而胰高血糖素是一种由胰腺α细胞分泌的激素,通过刺激肝葡萄糖生成来对抗胰岛素的作用,从而增加血糖水平。在糖尿病患者中,胰高血糖素分泌失调会导致高血糖。因此,抑制胰高血糖素受体是治疗 2 型糖尿病高血糖的一种策略。在本文中,我们报告了一系列联苯磺酰胺衍生物,这些衍生物经过设计、合成,并通过 cAMP 和肝葡萄糖生成测定进行评估,作为胰高血糖素受体拮抗剂。其中,化合物 7aB-3 在体外测定中降低了胰高血糖素诱导的 cAMP 产生和胰高血糖素诱导的葡萄糖产生。胰高血糖素挑战试验和葡萄糖耐量试验表明,化合物 7aB-3 可显著抑制胰高血糖素引起的血糖升高,改善葡萄糖耐量。这些结果表明,化合物 7aB-3 具有治疗 2 型糖尿病的潜力。